justdad7 Profile picture
May 2, 2025 7 tweets 2 min read Read on X
1/ The plaintiffs in the challenge to the Alabama law restricting medical transition of minors have agreed to drop the case. Boe v. Marshall has probably done more to undermine the case for WPATH and pediatric gender medicine than any other legal action.
2/ The masterstroke by the Alabama Attorney General was to bring a motion to compel the World Professional Association for Transgender Health to produce the correspondence relating to the creation of its SOC8.
justdad7180.substack.com/p/boe-v-marsha…
3/ What WPATH produced was a whole arsenal of smoking guns which disclosed the political manipulation of the standards of care and shredded what remained of WPATH's reputation as a trustworthy clinical and scientific organization.
4/ The disclosures provided the basis for a motion for summary judgment and a devastating brief by the Alabama Attorney General in the US Supreme Court Case of US v Skremetti. alabamaag.gov/wp-content/upl…
5/ It is surprising that the plaintiff's would drop the case before the Skremetti decision but it may be that the activist organizations feared that if the case proceeded even more damaging evidence from WPATH would be unsealed and they decided to cut their losses.
6/ The case was an unmitigated disaster for the activist groups backing it. Last year a number of lawyers acting for the plaintiffs were reprimanded by the court for judge shopping.
7/ The case was really over when the judge order pre-trial discovery. Pediatric gender medicine depends on the suppression of the truth and cannot stand up to close examination of the evidence.

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More from @justdad7

Dec 30, 2025
1/ In 2025 the collapse of gender ideology began in earnest. People around the world have had enough of men pushing into women's spaces and sterilizing confused children in the name of "affirmative care". Politicians and the courts started to listen.
2/ As 2024 ended, an article by a group at the Amsterdam clinic made it clear that the leading proponents of gender affirming treatments have abandoned evidence-based medicine for pure gender ideology.
open.substack.com/pub/justdad718…
3/ In the last days of the Biden administration, a U.S. Federal Court vacated Title IX rules which equated sex with gender identity.
Read 41 tweets
Nov 25, 2025
1/ The NHS clinical trial of puberty blockers has now been approved and will start recruiting patients. The full trial protocol and a simplified study description are available here. kcl.ac.uk/research/pathw…
2/ I discussed the ethics of a puberty blockers trial in a thread and a Substack. None of the concerns I raised have been answered in the trial protocol.
x.com/justdad7/statu…
justdad7180.substack.com/p/the-ethics-o…
3/ Marcus Evans and Susan Evans, two of the original Tavistock clinic whistleblowers, have sent an open letter to health secretary Wes Streeting arguing that the study is poorly designed and risks causing serious harm to children. open.substack.com/pub/marcusevan…
Read 11 tweets
Sep 9, 2025
1/ In his embarrassing interview with Stella O'Malley and Mia Hughes, Gordon Guyatt repeated the claim that the Health and Human Services report on gender medicine used the McMaster reviews to justify the denial of care to transgender people.
2/ This is a misrepresentation of the HHS report, which does not make any policy recommendations. It does present evidence which could be used to justify a ban on pediatric gender medicine but this evidence goes well beyond the systematic reviews.
opa.hhs.gov/sites/default/…
3/ The HHS report conducted an umbrella review of all of the systematic reviews of pediatric gender medicine, and not just the McMaster reviews, to support the finding that the evidence of benefit is low certainty.
Read 14 tweets
Sep 4, 2025
1/ One aspect of the controversy over @GuyattGH, @segm_ebm and the McMaster systematic reviews which has not been noted is the link with Egale Canada and ongoing litigation over the pediatric gender medicine ban in Alberta.
@GuyattGH @segm_ebm 2/ Egale Canada is the plaintiff in an action to block the Alberta legislation restricting medical transition of minors. A judge granted an interim injunction against the implementation of the law, and the government has appealed cbc.ca/news/canada/ca…
@GuyattGH @segm_ebm 3/ An analysis of the injunction decision by @GeoffSigalet argues that the judge was operating inside a liberal misinformation bubble. macdonaldlaurier.ca/a-misinformati…
Read 6 tweets
Aug 26, 2025
A short but pointed thread by another leading figure in evidence based medicine on the extent to which the recent statement @GuyattGH and some of his colleagues on their systematic reviews of gender medicine betrays the core principles he helped to develop. /2
One of the principles of evidence based medicine is avoiding bias through management of conflicts of interest. The methodologists who lead systematic reviews and guideline development are supposed to be neutral on the clinical and policy implications of their work. /3
By expressing the opinions in the letter and donating to Egale Canada, which is a highly partisan advocacy group supporting medical transition of minors, Guyatt and his team are putting themselves in a position of intellectual conflict of interest on issues of gender medicine. /4
Read 6 tweets
Jun 12, 2025
WPATH can't catch a break. Even though the ACLU agreed to dismiss Boe v Marshall, where it challenged the Alabama law banning medical transition of minors, a federal judge has just ordered that more of the documents WPATH disclosed be made public. /2
Many of the documents produced by WPATH were subject to a protective order and could not be published but the judge ruled that recordings or WPATH and USPATH conferences and panel discussions were not confidential and were not covered by the order. /3
reason.com/volokh/2025/06…
Although WPATH was not a party to the case, the judge ordered it to produce documents relating to its standards of care as they were the basis of the plaintiff's claim that gender affirming treatments were medically necessary. /4justdad7180.substack.com/p/boe-v-marsha…
Read 6 tweets

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